Why Do I Have a Bump Inside Right Nostril and Why Did I Develop a Deep Wrinkle Under my Nose when I Smile?

I had open rhynoplasty a year ago, the surgeon lifted my tip and did an alar base reduction. Unfortunately, I have a bump on the inside of my right nostril that feels hard like cartilage. Also, every time I smile I have developed a crease under my nose that looks very unflattering. The surgeon has recommended to remove the extra cartilage but I'm hesitant to go to him to make this correction. Why has that crease/ wrinkle under my nose develop? And what can I do to correct it?

Horizontal Crease after Rhinoplasty

July 31st, 2013

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What you're seeing under your nose is not highly unusual and is occasionally troubling for patients. We think it is caused by swelling and/or stiffness of the area following surgery, and can last from several months to even a year. Conservative injection of botox in the area may help reduce this temporarily as it resolves. As far as the extra cartilage, your surgeon should know how to address this and hopefully will be a minor touchup.

Rhinoplasty Pictures

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